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labetalol and Acute Disease

labetalol has been researched along with Acute Disease in 32 studies

Labetalol: A salicylamide derivative that is a non-cardioselective blocker of BETA-ADRENERGIC RECEPTORS and ALPHA-1 ADRENERGIC RECEPTORS.
labetalol : A diastereoisomeric mixture of approximately equal amounts of all four possible stereoisomers ((R,S)-labetolol, (S,R)-labetolol, (S,S)-labetalol and (R,R)-labetalol). It is an adrenergic antagonist used to treat high blood pressure.
2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide : A member of the class of benzamides that is benzamide substituted by a hydroxy group at position 2 and by a 1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl group at position 5.

Acute Disease: Disease having a short and relatively severe course.

Research Excerpts

ExcerptRelevanceReference
" Food and Drug Administration (FDA)-recommended doses of labetalol and nicardipine for hypertension (HTN) management in a subset of patients with renal dysfunction (RD)."9.19The management of acute hypertension in patients with renal dysfunction: labetalol or nicardipine? ( Baumann, BM; Borczuk, P; Cannon, CM; Chandra, A; Cline, DM; Diercks, DB; Hiestand, B; Hsu, A; Jois-Bilowich, P; Kaminski, B; Levy, P; Nowak, RM; Peacock, WF; Schrock, JW; Soto-Ruiz, KM; Varon, J, 2014)
"We evaluated 16 pregnant women with gestational age between 20 and 32 weeks in acute severe hypertension which were randomly allocated to receive either hydralazine or labetalol."9.15Changes in fetal and maternal Doppler parameters observed during acute severe hypertension treatment with hydralazine or labetalol: a randomized controlled trial. ( Baggio, MR; Berezowski, AT; Calderon, AC; Cavalli, RC; Duarte, G; Marcolin, AC; Martins, WP, 2011)
"The aim of this study was to evaluate the use of as-needed (PRN) labetalol and hydralazine [intravenous (IV) or oral] in hospitalized medicine patients for the treatment of severe asymptomatic hypertension and to examine the potential negative outcomes associated with their use."7.88Retrospective review of the use of as-needed hydralazine and labetalol for the treatment of acute hypertension in hospitalized medicine patients. ( Gaynor, MF; Vondracek, S; Wright, GC, 2018)
"Evaluate the ease of use and tolerability of labetalol (L) and nicardipine (N) for hypertension management in patients with acute stroke."7.74A comparison of nicardipine and labetalol for acute hypertension management following stroke. ( Coplin, WM; Janisse, J; Liu-Deryke, X; Norris, G; Parker, D; Rhoney, DH, 2008)
" This patient with Marfan syndrome whose case is reported herein presented with chest pain, hypertensive crisis, and aortic insufficiency; labetalol was used successfully to treat the acute hypertensive crisis and magnetic resonance imaging (MRI) was used to differentiate between aortic dissection and an expanding aortic aneurysm."7.68Labetalol and MRI as initial medical and diagnostic modalities in a marfanoid patient with expanding ascending aortic aneurysm. ( Baciewicz, FA; Grubb, B; Laden, N, 1990)
"1 The role of labetalol in managing acute myocardial infarction is reviewed."7.66Role of labetalol in acute myocardial infarction. ( Chamberlain, DA; Fowler, MB; Jaggarao, NS; Timmis, AD; Vincent, R, 1982)
" Food and Drug Administration (FDA)-recommended doses of labetalol and nicardipine for hypertension (HTN) management in a subset of patients with renal dysfunction (RD)."5.19The management of acute hypertension in patients with renal dysfunction: labetalol or nicardipine? ( Baumann, BM; Borczuk, P; Cannon, CM; Chandra, A; Cline, DM; Diercks, DB; Hiestand, B; Hsu, A; Jois-Bilowich, P; Kaminski, B; Levy, P; Nowak, RM; Peacock, WF; Schrock, JW; Soto-Ruiz, KM; Varon, J, 2014)
"We evaluated 16 pregnant women with gestational age between 20 and 32 weeks in acute severe hypertension which were randomly allocated to receive either hydralazine or labetalol."5.15Changes in fetal and maternal Doppler parameters observed during acute severe hypertension treatment with hydralazine or labetalol: a randomized controlled trial. ( Baggio, MR; Berezowski, AT; Calderon, AC; Cavalli, RC; Duarte, G; Marcolin, AC; Martins, WP, 2011)
"Our purpose was to compare the safety and efficacy of food and drug administration (FDA) recommended dosing of IV nicardipine versus IV labetalol for the management of acute hypertension."5.15CLUE: a randomized comparative effectiveness trial of IV nicardipine versus labetalol use in the emergency department. ( Baumann, BM; Borczuk, P; Cannon, CM; Chandra, A; Cline, DM; Diercks, D; Hiestand, B; Hsu, A; Jois-Bilowich, P; Kaminski, B; Levy, P; Nowak, RM; Peacock, WF; Schrock, JW; Varon, J, 2011)
"Labetalol and lisinopril are effective antihypertensive drugs in acute stroke that do not increase serious adverse events."5.14Controlling hypertension and hypotension immediately post-stroke (CHHIPS): a randomised, placebo-controlled, double-blind pilot trial. ( Chernova, J; Ford, GA; Jagger, C; James, M; Mistri, A; Potter, JF; Robinson, TG, 2009)
"The aim of this study was to evaluate the use of as-needed (PRN) labetalol and hydralazine [intravenous (IV) or oral] in hospitalized medicine patients for the treatment of severe asymptomatic hypertension and to examine the potential negative outcomes associated with their use."3.88Retrospective review of the use of as-needed hydralazine and labetalol for the treatment of acute hypertension in hospitalized medicine patients. ( Gaynor, MF; Vondracek, S; Wright, GC, 2018)
"Evaluate the ease of use and tolerability of labetalol (L) and nicardipine (N) for hypertension management in patients with acute stroke."3.74A comparison of nicardipine and labetalol for acute hypertension management following stroke. ( Coplin, WM; Janisse, J; Liu-Deryke, X; Norris, G; Parker, D; Rhoney, DH, 2008)
" This patient with Marfan syndrome whose case is reported herein presented with chest pain, hypertensive crisis, and aortic insufficiency; labetalol was used successfully to treat the acute hypertensive crisis and magnetic resonance imaging (MRI) was used to differentiate between aortic dissection and an expanding aortic aneurysm."3.68Labetalol and MRI as initial medical and diagnostic modalities in a marfanoid patient with expanding ascending aortic aneurysm. ( Baciewicz, FA; Grubb, B; Laden, N, 1990)
"1 The role of labetalol in managing acute myocardial infarction is reviewed."3.66Role of labetalol in acute myocardial infarction. ( Chamberlain, DA; Fowler, MB; Jaggarao, NS; Timmis, AD; Vincent, R, 1982)
"This is a substudy of the multicenter safety and efficacy Evaluation of intravenous Cardene (nicardipine) and Labetalol Use in the Emergency department (CLUE) trial that randomized patients to Food and Drug Administration-recommended intravenous dosing of nicardipine or labetalol to reach a physician predefined systolic BP (SBP) and target range (TR) of ±20 mm Hg within 30 minutes."2.79Impact of initial blood pressure on antihypertensive response in patients with acute hypertension. ( Farias, S; Gonzalez, M; Levy, PD; Peacock, WF, 2014)
"In the case of hypertensive encephalopathy, the lowering of blood pressure is therapeutic as well as diagnostic."2.43[Antihypertensive management in acute cerebral stroke]. ( Ziliene, V, 2005)
"We present an unusual case of spinal cord ischemia from an acute type B intramural hematoma that was successfully treated with blood pressure elevation and drainage of cerebral spinal fluid."1.39Acute intramural hematoma of the aorta complicated by spinal cord ischemia. ( Cassiere, HA; Liang, D; Yu, PJ, 2013)
"This study used an animal model of acute pancreatitis induced by intravenous caeruleint (10 micrograms/kg/h for up to six hours), which does not entail either haemorrhage or significant necrosis of the pancreas."1.29Vasoactive mediators and the progression from oedematous to necrotising experimental acute pancreatitis. ( Adler, G; Gress, TM; Lerch, MM; Pfaff, D; Turi, S; Weidenbach, H, 1995)
"The episodes of acute secondary erythermalgia were transient in all and did not recur after a mean follow up period of 1."1.29Acute secondary erythermalgia and hypertension in children. Erythermalgia Multidisciplinary Study Group. ( Drenth, JP; Michiels, JJ; Ozsoylu, S, 1995)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19903 (9.38)18.7374
1990's6 (18.75)18.2507
2000's11 (34.38)29.6817
2010's11 (34.38)24.3611
2020's1 (3.13)2.80

Authors

AuthorsStudies
Miller, J1
McNaughton, C1
Joyce, K1
Binz, S1
Levy, P3
Gaynor, MF1
Wright, GC1
Vondracek, S1
Yu, PJ1
Cassiere, HA1
Liang, D1
Farias, S1
Peacock, WF4
Gonzalez, M1
Levy, PD2
Varon, J3
Soto-Ruiz, KM1
Baumann, BM2
Borczuk, P2
Cannon, CM2
Chandra, A2
Cline, DM2
Diercks, DB1
Hiestand, B2
Hsu, A2
Jois-Bilowich, P2
Kaminski, B2
Nowak, RM2
Schrock, JW2
Martin-Schild, S1
Potter, JF1
Robinson, TG1
Ford, GA1
Mistri, A1
James, M1
Chernova, J1
Jagger, C1
Liu, X1
Yang, le J1
Fan, SJ1
Jiang, H1
Pan, F1
Baggio, MR1
Martins, WP1
Calderon, AC1
Berezowski, AT1
Marcolin, AC1
Duarte, G1
Cavalli, RC1
Sebastian, J1
Emery, D1
Kotylak, T1
Butcher, KS1
Diercks, D1
Hilleman, DE1
Rhoney, DH2
Marik, PE1
Rivera, R1
Odunukan, OW1
Abudiab, MM1
Sinak, LJ1
Recordati, G1
Zorzoli, F1
Pontara, O1
Turolo, L1
Zanchetti, A1
Lindsberg, PJ1
Soinne, L1
Roine, RO1
Salonen, O1
Tatlisumak, T1
Kallela, M1
Häppölä, O1
Tiainen, M1
Haapaniemi, E1
Kuisma, M1
Kaste, M1
Ziliene, V1
Semplicini, A1
Calò, L1
Donaghy, S1
Liu-Deryke, X1
Janisse, J1
Coplin, WM1
Parker, D1
Norris, G1
Koch, S1
Romano, JG1
Forteza, AM1
Otero, CM1
Rabinstein, AA1
Timmis, AD1
Fowler, MB1
Jaggarao, NS1
Vincent, R1
Chamberlain, DA1
Weidenbach, H1
Lerch, MM1
Gress, TM1
Pfaff, D1
Turi, S1
Adler, G1
O'Connor, B1
Luntley, JB1
Amar, D1
Shamoon, H1
Lazar, EJ1
Frishman, WH1
Drenth, JP1
Michiels, JJ1
Ozsoylu, S1
Fagan, SC1
Bowes, MP1
Lyden, PD1
Zivin, JA1
Powers, WJ1
Zazulia, AR1
Videen, TO1
Adams, RE1
Yundt, KD1
Aiyagari, V1
Grubb, RL1
Diringer, MN1
Spierings, EL1
Ronne-Rasmussen, JO1
Andersen, GS1
Jensen, NB1
Andersson, E1
Laden, N1
Baciewicz, FA1
Grubb, B1
Eisele, G1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase IV, Randomized Trial to Determine the Efficacy and Safety of Cardene Intravenous (I.V.) Versus Labetalol for Management of Hypertensive Emergencies in the Emergency Department Setting[NCT00765648]Phase 4226 participants (Actual)Interventional2008-10-31Completed
A Multi-center Randomised Controlled Trial to Explore the Ideal Individualized Anti-hypertension Strategies in Patients With Severe Stroke at Acute Stage[NCT02982655]500 participants (Anticipated)Interventional2017-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Number of Dose Titrations Within 30 Minutes

Calculated as the mean (± standard deviation) number of titrations over 30 minutes for each treatment group (NCT00765648)
Timeframe: 30 minutes

Interventionnumber of titrations (Mean)
Nicardipine2.2
Labetalol1.3

Emergency Department(ED)Time to Disposition Decision

Median number of hours from hospital admission until Emergency Department(ED)disposition (NCT00765648)
Timeframe: 6 hours

Interventionhours (Median)
Nicardipine4.6
Labetalol4.6

Percentage of Subjects Achieving a Pre-defined Target Systolic Blood Pressure (BP) Within 30 Minutes.

Percentage of subjects achieving a pre-defined target systolic blood pressure (BP) range defined as a systolic blood pressure that is within +/- 20 mmHg of the target as established by the investigator. (NCT00765648)
Timeframe: 30 minutes after initiation of therapy

Interventionpercentage of participants (Number)
Nicardipine91.7
Labetalol82.5

Subjects Requiring the Use of Intravenous Rescue Medications

The percent of subjects requiring the use of intravenous rescue medications (NCT00765648)
Timeframe: 6 hours

Interventionpercentage of participants (Number)
Nicardipine15.5
Labetalol22.4

Transition Time to Oral Medication

The median transition time (in hours) to oral medication (NCT00765648)
Timeframe: 6 hours

Interventionhours (Median)
Nicardipine4.9
Labetalol6.4

Treatment Failure

Treatment failure is defined as admission to the hospital or observation unit for BP management (NCT00765648)
Timeframe: 6 hours

Interventionpercentage of participants (Number)
Nicardipine43.1
Labetalol37.4

Reviews

4 reviews available for labetalol and Acute Disease

ArticleYear
Hypertension Management in Emergency Departments.
    American journal of hypertension, 2020, 10-21, Volume: 33, Issue:10

    Topics: Acute Disease; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Antihyper

2020
A systematic review of nicardipine vs labetalol for the management of hypertensive crises.
    The American journal of emergency medicine, 2012, Volume: 30, Issue:6

    Topics: Acute Disease; Antihypertensive Agents; Humans; Hypertension; Labetalol; Nicardipine

2012
Hypertensive emergencies: an update.
    Current opinion in critical care, 2011, Volume: 17, Issue:6

    Topics: Acute Disease; Adrenergic beta-Antagonists; Antihypertensive Agents; Blood Pressure; Critical Care;

2011
[Antihypertensive management in acute cerebral stroke].
    Medicina (Kaunas, Lithuania), 2005, Volume: 41, Issue:1

    Topics: Acute Disease; Adult; Antihypertensive Agents; Brain Injuries; Cerebrovascular Circulation; Emergenc

2005

Trials

9 trials available for labetalol and Acute Disease

ArticleYear
Impact of initial blood pressure on antihypertensive response in patients with acute hypertension.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:8

    Topics: Acute Disease; Antihypertensive Agents; Blood Pressure; Creatinine; Emergency Service, Hospital; Hum

2014
The management of acute hypertension in patients with renal dysfunction: labetalol or nicardipine?
    Postgraduate medicine, 2014, Volume: 126, Issue:4

    Topics: Acute Disease; Antihypertensive Agents; Comorbidity; Double-Blind Method; Female; Humans; Hypertensi

2014
Controlling hypertension and hypotension immediately post-stroke (CHHIPS): a randomised, placebo-controlled, double-blind pilot trial.
    The Lancet. Neurology, 2009, Volume: 8, Issue:1

    Topics: Acute Disease; Aged; Antihypertensive Agents; Blood Pressure; Double-Blind Method; Female; Humans; H

2009
Changes in fetal and maternal Doppler parameters observed during acute severe hypertension treatment with hydralazine or labetalol: a randomized controlled trial.
    Ultrasound in medicine & biology, 2011, Volume: 37, Issue:1

    Topics: Acute Disease; Adult; Antihypertensive Agents; Female; Humans; Hydralazine; Hypertension; Labetalol;

2011
CLUE: a randomized comparative effectiveness trial of IV nicardipine versus labetalol use in the emergency department.
    Critical care (London, England), 2011, Volume: 15, Issue:3

    Topics: Acute Disease; Adult; Aged; Antihypertensive Agents; Blood Pressure; Emergency Service, Hospital; Fe

2011
Community-based thrombolytic therapy of acute ischemic stroke in Helsinki.
    Stroke, 2003, Volume: 34, Issue:6

    Topics: Academic Medical Centers; Acute Disease; Adult; Aged; Aged, 80 and over; Antihypertensive Agents; Bl

2003
Rapid blood pressure reduction in acute intracerebral hemorrhage: feasibility and safety.
    Neurocritical care, 2008, Volume: 8, Issue:3

    Topics: Acute Disease; Aged; Antihypertensive Agents; Blood Pressure; Brain Edema; Feasibility Studies; Fema

2008
Acute hyperglycaemic effect of anaesthetic induction with thiopentone.
    Acta anaesthesiologica Scandinavica, 1993, Volume: 37, Issue:6

    Topics: Acute Disease; Anesthesia, Intravenous; Blood Glucose; Epinephrine; Female; Glucagon; Humans; Hyperg

1993
Autoregulation of cerebral blood flow surrounding acute (6 to 22 hours) intracerebral hemorrhage.
    Neurology, 2001, Jul-10, Volume: 57, Issue:1

    Topics: Acute Disease; Adult; Aged; Antihypertensive Agents; Blood Pressure; Cerebral Hemorrhage; Cerebrovas

2001

Other Studies

19 other studies available for labetalol and Acute Disease

ArticleYear
Retrospective review of the use of as-needed hydralazine and labetalol for the treatment of acute hypertension in hospitalized medicine patients.
    Therapeutic advances in cardiovascular disease, 2018, Volume: 12, Issue:1

    Topics: Acute Disease; Administration, Intravenous; Administration, Oral; Adrenergic Antagonists; Adult; Age

2018
Acute intramural hematoma of the aorta complicated by spinal cord ischemia.
    Journal of cardiac surgery, 2013, Volume: 28, Issue:6

    Topics: Acute Disease; Administration, Oral; Adult; Antihypertensive Agents; Aortic Diseases; Blood Pressure

2013
Blood pressure in acute stroke: lower it or let the CHHIPS fall where they will.
    The Lancet. Neurology, 2009, Volume: 8, Issue:1

    Topics: Acute Disease; Antihypertensive Agents; Blood Pressure; Clinical Trials as Topic; Humans; Hypertensi

2009
Swimming exercise effects on the expression of HSP70 and iNOS in hippocampus and prefrontal cortex in combined stress.
    Neuroscience letters, 2010, May-31, Volume: 476, Issue:2

    Topics: Acute Disease; Adrenergic Antagonists; Animals; Chronic Disease; Corticosterone; Hippocampus; HSP70

2010
Cerebral blood flow measurement following extreme blood pressure reduction in an acute intracerebral hemorrhage patient.
    Clinical neurology and neurosurgery, 2011, Volume: 113, Issue:7

    Topics: Acute Disease; Antihypertensive Agents; Blood Pressure; Cerebral Hemorrhage; Cerebrovascular Circula

2011
48-year-old man with cough and leg swelling.
    Mayo Clinic proceedings, 2012, Volume: 87, Issue:12

    Topics: Acute Disease; Antihypertensive Agents; Cerebrovascular Circulation; Cough; Dyspnea; Echocardiograph

2012
Factors influencing acute ischaemia-induced renal hypertension in rats.
    Journal of hypertension, 2002, Volume: 20, Issue:12

    Topics: Acute Disease; Animals; Antihypertensive Agents; Biphenyl Compounds; Diuresis; Hematocrit; Hypertens

2002
Administering antihypertensive drugs after acute ischemic stroke: timing is everything.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2005, Mar-01, Volume: 172, Issue:5

    Topics: Acute Disease; Antihypertensive Agents; Brain; Brain Ischemia; Cerebrovascular Circulation; Homeosta

2005
Choice of antihypertensives after acute ischemic stroke.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2005, Aug-16, Volume: 173, Issue:4

    Topics: Acute Disease; Antihypertensive Agents; Brain Ischemia; Drug Administration Schedule; Humans; Labeta

2005
A comparison of nicardipine and labetalol for acute hypertension management following stroke.
    Neurocritical care, 2008, Volume: 9, Issue:2

    Topics: Acute Disease; Aged; Antihypertensive Agents; APACHE; Blood Pressure; Brain Ischemia; Cerebral Hemor

2008
Role of labetalol in acute myocardial infarction.
    British journal of clinical pharmacology, 1982, Volume: 13, Issue:1 Suppl

    Topics: Acute Disease; Ethanolamines; Humans; Labetalol; Myocardial Infarction; Oxygen Consumption

1982
Vasoactive mediators and the progression from oedematous to necrotising experimental acute pancreatitis.
    Gut, 1995, Volume: 37, Issue:3

    Topics: Acute Disease; Animals; Arginine; Bradykinin; Catecholamines; Ceruletide; Edema; Labetalol; Male; Mi

1995
Acute dissection of the thoracic aorta. Esmolol is safer than and as effective as labetalol.
    BMJ (Clinical research ed.), 1995, Apr-01, Volume: 310, Issue:6983

    Topics: Acute Disease; Adrenergic beta-Antagonists; Aortic Aneurysm, Thoracic; Aortic Dissection; Humans; La

1995
Acute secondary erythermalgia and hypertension in children. Erythermalgia Multidisciplinary Study Group.
    European journal of pediatrics, 1995, Volume: 154, Issue:11

    Topics: Acute Disease; Adolescent; Alprostadil; Child; Child, Preschool; Erythromelalgia; Female; Humans; Hy

1995
Acute hypertension promotes hemorrhagic transformation in a rabbit embolic stroke model: effect of labetalol.
    Experimental neurology, 1998, Volume: 150, Issue:1

    Topics: Acute Disease; Angiotensin II; Animals; Antihypertensive Agents; Cerebral Hemorrhage; Cerebral Infar

1998
Acute and chronic hypertensive headache and hypertensive encephalopathy.
    Cephalalgia : an international journal of headache, 2002, Volume: 22, Issue:4

    Topics: Acute Disease; Antidepressive Agents; Antihypertensive Agents; Anxiety; Arterioles; Cerebral Arterie

2002
Acute effect of intravenous labetalol in the treatment of systemic arterial hypertension.
    British journal of clinical pharmacology, 1976, Volume: 3, Issue:4 Suppl 3

    Topics: Acute Disease; Adult; Aged; Blood Pressure; Drug Administration Schedule; Drug Evaluation; Ethanolam

1976
Labetalol and MRI as initial medical and diagnostic modalities in a marfanoid patient with expanding ascending aortic aneurysm.
    Chest, 1990, Volume: 98, Issue:5

    Topics: Acute Disease; Aorta; Aortic Aneurysm; Aortic Dissection; Humans; Hypertension; Labetalol; Magnetic

1990
Intravenous labetalol in acute aortic dissection.
    JAMA, 1987, Oct-02, Volume: 258, Issue:13

    Topics: Acute Disease; Aortic Aneurysm; Aortic Dissection; Humans; Infusions, Intravenous; Labetalol

1987